Individual provider Active NPI

Timothy C Broadbent, PT

  • Physical Therapist
  • Oak Ridge, TN
National Provider Identifier
1881044667
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10835 Issued in TN
Practice address
961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832
Phone
(865) 483-1906
Fax
(865) 483-3807
NPI assigned
Jun 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10835 TN Primary

Addresses

Primary practice location

961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (865) 694-0062

Other practice location 1

9430 Park West Blvd Ste 230
Knoxville, TN 37923-4204
Phone (865) 560-8550

Other practice location 2

6484 Kingston Pike
Knoxville, TN 37919-4863
Phone (865) 633-0235

Other practice location 3

988 Oak Ridge Tpke Ste 100A
Oak Ridge, TN 37830-6919
Phone (865) 425-4388

Other practice location 4

1819 Clinch Ave Ste 106
Knoxville, TN 37916-2435
Phone (865) 633-0259

Other practice location 5

576 Fort Loudoun Medical Center Dr Ste 100A
Lenoir City, TN 37772-5676
Phone (865) 988-8796

Other identifiers 1

IdentifierTypeStateIssuer
Q022499MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160726000033 TN Practitioner - Physical Therapist in Private Practice 9830482074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians

Practice addresses (Care Compare)

1819 Clinch Ave
Knoxville, TN 37916-2435

8 City Blvd
Suite 100
Nashville, TN 37209-2558
Phone (615) 329-6600

961 Oak Ridge Tpke
Oak Ridge, TN 37830-8832
Phone (865) 483-1906

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10835TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2021 Accepting new patients
Tennessee Orthopaedic Clinics PC CurrentSince Jun 15, 2016 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jan 1, 2021 Accepting new patients
Tennessee Orthopaedic Alliance PA Current Accepting new patients
Tennessee Orthopaedic Clinics PC CurrentSince Jun 15, 2016 Accepting new patients
Tennessee Orthopaedic Clinics PC Physical Therapist Past Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients

Locations

6484 Kingston Pike
Knoxville, TN 37919
Phone (865) 633-0235

4882 Harvest Mill Way
Knoxville, TN 37918
Phone (865) 560-8550

1819 Clinch Ave
Ste 106
Knoxville, TN 37916
Phone (865) 524-5365

9129 Cross Park Dr
Ste 101
Knoxville, TN 37923
Phone (865) 694-7725

9430 Park West Blvd
Ste 230
Knoxville, TN 37923
Phone (865) 560-8550

576 Fort Loudoun Med Center Dr
Ste 100
Lenoir City, TN 37772
Phone (865) 988-8667

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

988 Oak Ridge Tpke
Ste 100
Oak Ridge, TN 37830
Phone (865) 483-8478

961 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 483-1906

Interoperability endpoints

  • Direct secure messaging: timothyc.broadbent.p2@direct.toa.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1881044667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "865-694-0062",
            "fax_number": "865-694-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 OAK RIDGE TPKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308832",
            "telephone_number": "865-483-1906",
            "fax_number": "865-483-3807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9430 Park West Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234204",
            "country_code": "US",
            "telephone_number": "865-560-8550",
            "fax_number": "865-560-8551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6484 Kingston Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379194863",
            "country_code": "US",
            "telephone_number": "865-633-0235",
            "fax_number": "865-602-7757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "988 Oak Ridge Tpke Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306919",
            "country_code": "US",
            "telephone_number": "865-425-4388",
            "fax_number": "865-425-4677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1819 Clinch Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379162435",
            "country_code": "US",
            "telephone_number": "865-633-0259",
            "fax_number": "865-524-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "576 Fort Loudoun Medical Center Dr Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725676",
            "country_code": "US",
            "telephone_number": "865-988-8796",
            "fax_number": "865-988-8798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROADBENT",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q022499",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.